Child and Family Services Plan (CFSP), Annual Progress and Services Reprot (APSR), and Annual Budget Expenses Request and Estimated Expenditures (CFS-101)

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
10171	Child and Family Services Plan (CFSP), Annual Progress and Services Reprot (APSR), and Annual Budget Expenses Request and Estimated Expenditures (CFS-101) Form	Migrated

ICR Details

OMB Control No: 0980-0047	ICR Reference No: 200205-0980-001
Status: Historical Active	Previous ICR Reference No: 199903-0980-001
Agency/Subagency: HHS/HDSO	Agency Tracking No:
Title: Child and Family Services Plan (CFSP), Annual Progress and Services Reprot (APSR), and Annual Budget Expenses Request and Estimated Expenditures (CFS-101)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/18/2002
	Date Received in OIRA: 05/24/2002
Terms of Clearance: Approved with changes and revised forms consistent with ACF memos of 07/17/02 and 07/18/02. The revisions noted in ACF memos will be transferred to the forms included in ACF's web-site. If Congress reauthorizes CAPTA, HHS will submit to OMB any revisions made to the information collection requirements. Upon subsequent submissions, HHS will submit to OMB the Program Instruction (PI) that is issued to respondents and that reiterates the regulatory and statutory requirements for the information collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2005	10/31/2005	07/31/2002
Responses	300	0	300
Time Burden (Hours)	112,500	0	52,500
Cost Burden (Dollars)	0	0	0

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Abstract: Under title IV-B, subparts 1 and 2, of the Social Security Act States and Indian Tribes are to submit to the Department a five year Child and Family Services Plan (CFSP), an annual progress and services report, and an annual budget request and estimated expenditure report (CFS-101). The plan is used by States and Indian Tribes to develop and implement services and describe coordination efforts with other federal, state and local programs. The Annual Progress and Services Report is used to provide updates and changes in the goals and services under the five year plan, as well report on activities conducted during...

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Child and Family Services Plan (CFSP), Annual Progress and Services Reprot (APSR), and Annual Budget Expenses Request and Estimated Expenditures (CFS-101)	CFS-101

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	300	300	0	0	0	0
Annual Time Burden (Hours)	112,500	52,500	0	0	60,000	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/24/2002

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